Kanisha Michelle Cooper
Kanisha Michelle Cooper is a Behavior Technician in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 4
Practice location Address checks out
1500 N Market St Ste C104Shreveport, LA 71107-6545
Phone: (318) 626-5597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1396273249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2017 |
| Last updated in NPPES | June 15, 2023 |
| Certification date | June 15, 2023 |
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